I have 11 years of RN experience including LTSS Utilization Management Review, Maternal Newborn, NICU, Adult Pulmonary Med/Surg, RN Care Coordinator at a Pediatric Medically Complex Clinic with duties involving patient care and work initiatives for a HRSA program for NICU graduates. I have 6 years of Charge RN experience on a high risk Mother/Baby Unit and 5 years of CNA experience in home health setting and hospital setting. I would describe myself as a caring & compassionate nurse with a strong work ethic who is passionate about process improvement, evidence based practice, and improving health care for all. I am knowledgeable and skilled in nursing assessment, complex care coordination, prior authorization, medical necessity, microsoft suite, and much more. I strive to maintain exceeds on evaluations and audits. I work well independently and collaboratively with a team.
Current job duties consist of reviewing assigned cases to determine medical necessity for long term services and supports. I am on a work group that is developing new and improved training materials and curriculum for Service Coordinators and Reviewers. I also precept new employees to the Reviewer position.
This position involved part time work in the Pediatric Medically Complex Clinic providing patient care, prior authorizations, writing letters of medical necessity, etc and part time work on a HRSA grant as a Care Coordinator to improve and provide a seamless transition for NICU graduates transitioning from the in-patient setting to their homes in the community. I attended NICU rounds in-patient, met with families, coordinated care follow-ups, connected with families once home on, identified needs and areas of risk for readmission.
I started on the mother/baby unit as a nursing assistant and transitioned to the RN role in 2014. This unit was a high-risk, fast-paced unit providing care to mothers and babies including level 2 NICU. I was a core charge Nurse for 6 years responsible for this unit and the Neonatal Abstinence Syndrome unit caring for babies going through withdrawal.
This unit was comparable to progressive care. I took care of patients with Tracheostomy, severe COPD, Cystic fibrosis, Tuberculosis, Sickle Cell Crisis, Wounds, PICC lines, feeding tubes. I often floated to our sister unit, the infectious disease unit.